Texas Health Hospital Mansfield
2300 Lone Star Road, Mansfield, TX · AdventHealth · · NPI 1356960132
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Set up port xray equipment HCPCS Q0092 | not published | not published | $71.54 – $71.54 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,961.62 – $4,781.00 | 3 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $66.90 | 5 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $35.54 | 5 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,541.04 – $7,082.09 | 2 |
| Sex transformation m to f CPT 55970 | not published | not published | $5,025.25 – $10,050.49 | 2 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $773.00 | 4 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,202.09 – $2,761.00 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $1,189.68 | $1,189.68 | $201.55 – $1,187.00 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $1,155.51 | $1,155.51 | $201.55 – $1,187.00 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $2,211.02 | $2,211.02 | $266.56 – $1,187.00 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $2,211.02 | $2,211.02 | $295.12 – $1,187.00 | 3 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $1,139.50 | $1,139.50 | $201.55 – $1,187.00 | 3 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $1,214.22 | $1,214.22 | $201.55 – $1,187.00 | 3 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $1,154.44 | $1,154.44 | $201.55 – $1,187.00 | 3 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $1,069.68 | $1,069.68 | $408.37 – $1,187.00 | 3 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $2,211.02 | $2,211.02 | $408.37 – $1,187.00 | 3 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $1,206.75 | $1,206.75 | $201.55 – $1,187.00 | 3 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $1,281.48 | $1,281.48 | $201.55 – $1,187.00 | 3 |
| Shigella antibody CPT 86771 | not published | not published | $24.48 – $58.62 | 5 |
| Sho arthrs dx +- synovial bx CPT 29805 | $18,198.54 | $18,198.54 | $3,286.91 – $9,098.00 | 3 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $40,667.41 | $40,667.41 | $7,289.28 – $16,164.00 | 3 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $7,289.28 – $16,164.00 | 3 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,286.91 – $16,164.00 | 3 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $22,972.81 | $22,972.81 | $3,286.91 – $9,098.00 | 3 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $31,262.32 | $31,262.32 | $3,286.91 – $16,164.00 | 3 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $7,289.28 – $16,164.00 | 3 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,286.91 – $16,164.00 | 3 |
| Sho arthrs srg rpr slap les CPT 29807 | $35,789.82 | $35,789.82 | $7,289.28 – $16,164.00 | 3 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $26,803.85 | $26,803.85 | $3,286.91 – $16,164.00 | 3 |
| Shortening of hand tendon CPT 26479 | not published | not published | $2,761.00 – $6,573.82 | 3 |
| Shortening of thigh bone CPT 27465 | not published | not published | $3,125.00 – $16,164.00 | 3 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $3,354.03 – $16,164.00 | 2 |
| Shorten radius or ulna CPT 25390 | $33,889.60 | $33,889.60 | $7,289.28 – $14,578.56 | 3 |
| Shorten radius & ulna CPT 25392 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $39,899.85 | $39,899.85 | $7,289.28 – $16,164.00 | 3 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,802.80 | $4,802.80 | $350.46 – $700.93 | 2 |
| Shoulder MRI (with contrast) CPT 73222 | $4,635.24 | $4,635.24 | $787.49 – $1,574.99 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | $4,097.34 | $4,097.34 | $239.69 – $479.38 | 2 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $4,781.00 – $14,578.56 | 3 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $3,185.50 – $14,578.56 | 3 |
| Shoulder X-ray CPT 73030 | $663.24 | $663.24 | $87.42 – $174.84 | 2 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $3,299.58 – $9,124.00 | 2 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $3,299.58 – $9,124.00 | 2 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $3,215.74 – $9,124.00 | 2 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $1,385.29 | $1,385.29 | $105.02 – $210.04 | 2 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $3,165.62 – $9,124.00 | 2 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $3,342.79 – $9,124.00 | 2 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $3,570.09 – $9,124.00 | 2 |
| Sialidase enzyme assay CPT 87905 | $132.17 | $132.17 | $12.22 – $54.31 | 4 |
| Sialography s&i CPT 70390 | not published | not published | $239.69 – $479.38 | 2 |
| Sialolithotomy 42330 CPT 42330 | $16,276.57 | $16,276.57 | $352.22 – $6,661.13 | 3 |
| Sickling rbc CPT 85660 | $111.25 | $111.25 | $5.51 – $24.53 | 5 |
| Sigmoidoscopy and biopsy CPT 45331 | $6,284.63 | $6,284.63 | $934.20 – $2,265.00 | 3 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $934.20 – $2,761.00 | 3 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,202.09 – $2,761.00 | 3 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $934.20 – $2,265.00 | 3 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,202.09 – $2,761.00 | 3 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $12,533.08 | $12,533.08 | $1,202.09 – $2,761.00 | 3 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $2,761.00 – $12,197.12 | 3 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,761.00 – $5,576.62 | 3 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $6,945.66 | $6,945.66 | $1,202.09 – $2,761.00 | 3 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $934.20 – $2,761.00 | 3 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,202.09 – $2,761.00 | 3 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $4,890.82 | $4,890.82 | $934.20 – $2,265.00 | 3 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $59.26 – $118.52 | 2 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,202.09 – $2,761.00 | 3 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $4.83 – $4.83 | 1 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,596.79 – $23,193.59 | 2 |
| Simple cystometrogram 51725 CPT 51725 | $1,161.93 | $1,161.93 | $250.99 – $1,187.00 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $204.67 – $204.67 | 1 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $70.49 – $210.04 | 2 |
| Single transfer toe-hand CPT 26553 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Sinus CT scan (with and without contrast) CPT 70488 | $4,017.97 | $4,017.97 | $176.20 – $352.40 | 2 |
| Sinus CT scan (with contrast) CPT 70487 | $3,830.52 | $3,830.52 | $176.20 – $352.40 | 2 |
| Sinus CT scan (without contrast) CPT 70486 | $3,743.14 | $3,743.14 | $105.02 – $210.04 | 2 |
| Sinus/juglr venogram s&i CPT 75860 | $14,751.30 | $14,751.30 | $3,171.87 – $6,343.74 | 2 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $18,708.99 | $18,708.99 | $3,330.57 – $6,661.13 | 3 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,932.43 – $111,864.85 | 3 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $18.35 – $18.35 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $91.03 – $214.86 | 3 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $81.94 | $81.94 | not published | 0 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,559.87 – $9,098.00 | 3 |
| Skin Biopsy CPT 11102 | $735.39 | $735.39 | $181.74 – $1,187.00 | 3 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,072.68 – $4,781.00 | 3 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,559.87 – $9,098.00 | 3 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,072.68 – $4,145.37 | 3 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $14.84 – $58.11 | 5 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $6,362.37 – $9,124.00 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $9,124.00 – $10,470.00 | 2 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,580.49 – $1,580.49 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $699.24 | 4 |
| Sleep study attended CPT 95807 | not published | not published | $374.86 – $749.72 | 2 |
| Sleep Study (Polysomnography) CPT 95810 | $6,709.09 | $6,709.09 | $862.65 – $1,725.31 | 2 |
| Sleep study unattended CPT 95806 | not published | not published | $216.91 – $433.81 | 2 |
| Sleeve fing rolyan med HCPCS L3933 | $1,194.44 | $1,194.44 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.